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Chronic Total Occlusions

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Abstract

Coronary chronic total occlusions (CTOs) are common findings in patients undergoing coronary angiography. Despite promising results reported in observational studies, the impact of CTO revascularization on prognosis is still not well established in the absence of randomized trials. Consequently, both European and American guidelines have assigned class IIa (level of evidence B) recommendations for CTO percutaneous coronary interventions. Expertise among interventionalists has markedly increased in both antegrade and retrograde techniques, corresponding to high success rates despite the increased difficulty of attempted CTO lesions.

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Authors and Affiliations

  1. Department of Cardiology, Abderrahmen Mami Hospital, Faculty of Medicine of Tunis, Univesity of Tunis El Manar, Ariana, Tunisia

    Marouane Boukhris MD, FESC

  2. Department of Clinical and Experimental Medicine, University of Catania, Catania, Italy

    Alfredo R. Galassi MD, FESC, FACC, FSCAI

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  1. Marouane Boukhris MD, FESC
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  2. Alfredo R. Galassi MD, FESC, FACC, FSCAI
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Correspondence to Marouane Boukhris MD, FESC .

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  1. Middle German Heart Center and Health Care Center Bitterfeld-Wolfen, gGmbH, Bitterfeld-Wolfen, Germany

    Peter Lanzer

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Boukhris, M., Galassi, A.R. (2018). Chronic Total Occlusions. In: Lanzer, P. (eds) Textbook of Catheter-Based Cardiovascular Interventions. Springer, Cham. https://doi.org/10.1007/978-3-319-55994-0_47

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